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Federal forms, ICRs, and supporting documents

Information Collection

Paper and Telephone Intake Form

IC 198060 under ICR 201107-1505-005 · OMB 1505-0236.

Documents and Forms
Document Name
Document Type
Other-Paper Intake
Other-Phone Script
Information Collection (IC) Details

View Information Collection (IC)

Paper and Telephone Intake Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Paper Intake Credit Card Intake Form FINAL.pdf No   Printable Only
Other-Phone Script Phone Scripts CLEARED.docx No   Printable Only

Economic Development Industry Sector Income Stabilization

 

18,750 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 18,750 0 0 0 0 18,750
Annual IC Time Burden (Hours) 3,125 0 0 0 0 3,125
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.